| NPI | 1336448968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE W STINSON President 907-770-3224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: AK 950109) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |